Individual
DR. JEFFREY GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036-132925
IL
207X00000X
Orthopaedic Surgery Physician
Primary
2013-00980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689848897
—
NC
05
—
NC1822
—
SC
Enumeration date
04/17/2008
Last updated
05/14/2014
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